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NREMT First Responder / EMR (EMR) Practice Tests & Test Prep by Exam Edge - Topics


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Understanding what is on the NREMT First Responder / EMR exam is crucial step in preparing for the exam. You will need to have an understanding of the testing domain (topics covered) to be sure you are studing the correct information.

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NREMT First Responder / EMR Exam Blueprint

Understanding the exact breakdown of the NREMT First Responder / EMR test will help you know what to expect and how to most effectively prepare. The NREMT First Responder / EMR has multiple-choice questions The exam will be broken down into the sections below:

NREMT First Responder / EMR Exam Blueprint
Domain Name % Number of
Questions
Airway, Respiration & Ventilation 17-21% 19
Cardiology & Resuscitation 16-20% 18
Trauma 19-23% 21
Medical/Obstetrics/Gyn 27-31% 30
EMS Ops 11-15% 12

NREMT First Responder / EMR - Exam Topics Sample Questions

You have received 3 consecutive NSI messages from the AED, and have completed 3 rounds of CPR. The patient has not regained a pulse. Which of the following is the next appropriate step?

Correct Answer:
transport the patient.


when responding to an emergency scenario where a patient has collapsed and is not showing signs of a pulse, using an automated external defibrillator (aed) is crucial. the aed analyzes the patient's heart rhythm and advises whether a shock is needed. nsi, or "no shock indicated," messages occur when the aed detects either no shockable rhythm or some form of electrical activity that does not warrant defibrillation.

after receiving three consecutive nsi messages from the aed, you have completed three rounds of cpr but the patient still has not regained a pulse. this situation suggests that while there is electrical activity, it is not sufficient to produce a pulse or maintain effective cardiac output. at this point, continuous cpr alone is unlikely to result in a significant change without additional medical intervention.

the appropriate next step after delivering cpr and receiving nsi messages is to prepare for and execute the transport of the patient to a medical facility. the reasoning behind this is that advanced life support interventions, which are beyond basic cpr and aed usage, may be required. these could include drug administration, advanced airway management, or other invasive procedures which can only be performed by medical professionals in a hospital setting.

transporting the patient promptly ensures that they have the best chance of receiving the necessary medical care to potentially stabilize their condition. it is important to note that declaring a patient dead typically falls under the purview of qualified medical personnel after all viable options have been exhausted and can only be made under specific legal and medical guidelines, which vary by jurisdiction.

therefore, the next appropriate step after receiving three nsi messages and completing three rounds of cpr with no pulse return is to transport the patient to a medical facility for further evaluation and treatment. this step is crucial as it moves the patient towards more comprehensive care that could lead to stabilization and recovery.

A condition marked by sporadic and irregular contractions of the heart muscle due to damage to the tissue is known as which of the following?

Correct Answer:
ventricular fibrillation.


the correct answer to the question is "ventricular fibrillation." this condition is a serious cardiac issue characterized by irregular and sporadic contractions of the heart muscle. it is primarily caused by damage to the heart's muscular tissue. ventricular fibrillation is particularly dangerous because it disrupts the normal rhythm of the heart, which can lead to decreased blood flow to the brain and other vital organs. in severe cases, it can be fatal if not treated promptly.

ventricular fibrillation is often abbreviated as v-fib and is considered a type of arrhythmia. an arrhythmia is a problem with the rate or rhythm of the heartbeat. during ventricular fibrillation, the electrical signals that typically coordinate the heart's activity become chaotic. this chaos prevents the ventricles, the lower chambers of the heart, from contracting effectively. instead of pumping blood, the ventricles quiver uselessly, leading to an immediate drop in blood pressure and cessation of blood flow.

symptoms of ventricular fibrillation can include sudden collapse, lack of pulse, and loss of consciousness, often occurring without warning. it is a medical emergency that requires immediate intervention. the most effective treatment for ventricular fibrillation is defibrillation. this involves delivering an electrical shock to the heart, typically through an automated external defibrillator (aed), to restore a normal heart rhythm.

factors that can increase the risk of ventricular fibrillation include previous heart attacks, heart disease, cardiomyopathy, and the use of certain recreational drugs. preventative measures may involve managing heart disease risk factors, such as high blood pressure, cholesterol, and leading an overall healthy lifestyle. regular check-ups with a healthcare provider are also essential to monitor heart health, especially for those with a history of heart conditions.